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Organization
WALMART INC
Active
Organization
WALMART INC
Active
Other names
Walmart Pharmacy 10-4317
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
400 TUCKER RD, TEHACHAPI, CA 93561-0722
(661) 822-2012
(661) 822-2016
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
06/12/2025
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